ADOPT模式对PICC置管患者希望水平与适应水平的影响  

Effects of ADOPT pattern on hope and adaptation levels of patients with PICC catheter

作　　者：张素丽[1] 潘恋俊 董丽萍[1] 储文雅[1] Zhang Suli Pan Lianjun Dong Liping Chu Wenya(Hematology Department, Jinhua Central Hospital in Zhejiang Province, Jinhua 321000, China Infusion Room, Jinhua Central Hospital in Zhejiang Province, Jinhua 321000, China)

机构地区：[1]浙江省金华市中心医院血液科,321000 [2]浙江省金华市中心医院输液室,321000

出　　处：《中华现代护理杂志》2017年第13期1745-1748,共4页Chinese Journal of Modern Nursing

基　　金：金华市科技局立项课题（2014-3-006）

摘　　要：目的 研究ADOPT模式对PICC置管患者希望水平与适应水平的影响.方法 选择2014年10月—2016年8月笔者所在医院收治的PICC置管患者300例,将患者随机分为研究组和对照组,每组150例.对照组患者进行常规健康教育,研究组在常规健康教育的基础上实施ADOPT模式干预,采用个体化指导、集体干预、门诊随访、电话随访及家访的干预方式,发放调查问卷,根据患者的不同适应需求予以一对一的指导,与患者共同进行效果评价.出院后,通过门诊随访、电话随访及家访对患者及时进行效果评价,并及时调整解决方案,重新制定计划目标.观察其干预后的健康促进生活方式、希望水平及焦虑、抑郁评分.结果 干预后研究组健康促进生活方式评分高于对照组,希望指数量表评分明显高于对照组,差异均有统计学意义（P〈0.05）;干预后研究组患者的SAS、SDS评分明显低于对照组,差异有统计学意义（P〈0.05）.结论 ADOPT模式可以提高PICC置管患者生活质量、希望水平,改善其PICC置管后出现的焦虑、抑郁不良情绪.Objective To study the effects of ADOPT pattern on hope and adaptation levels of patients with PICC catheter.Methods A total of 300 patients with PICC catheter from October 2014 to August 2016 were selected and randomly divided into experimental group and control group, 150 cases respectively. Patients in control group received routine health education, while patients in experimental group were intervened with additional ADOPT pattern. Intervention methods included individualized instruction, collective intervention, outpatient follow-up, telephone follow-up and home visits. Questionnaires were handed out. Patients were one-on-one instructed according to individual adaptation needs. Effects were evaluated together with patients. After discharge, effects were evaluated through outpatient follow-up, telephone follow-up and home visits. Plan aims were reset. Life style of promoting health, hope levels as well as anxiety and depression scores after intervention were observed.Results The scores of life style for improving health and hope index scale in experimental group were significant higher than those in control group after intervention （P〈0.05）. The scores of SAS and SDS in intervention group were lower than those in control group, with significant differences （P〈0.05）.Conclusions ADOPT pattern can increase quality of life and hope levels of patients with PICC catheter and improve their bad mood including anxiety and depression after PICC catheter.

关 键 词：ADOPT模式 PICC 希望水平 适应水平 

分 类 号：R473[医药卫生—护理学]